作为重症监护病人的死亡率标志物,失血症感染SARS-CoV-2的重症监护病人的死亡率标志物:一项回顾性研究
Guler Eraslan Doganay1, Melek Doganci1, Gulsah Yurtseven1
1Department of Anesthesiology and Reanimation, Ankara Ataturk Sanatorium Training and Research Hospital, University of Health Sciences, 06290 Ankara, Turkey.
Medicina (Kaunas, Lithuania)
|July 27, 2024
概括
超血,一种不平衡,是严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 感染患者进入重症监护室 (ICU) 死亡的重要危险因素. 适当的电解质管理对于这些重症患者至关重要.
科学领域:
- 密集护理医学 密集护理医学
- 传染性疾病 传染性疾病
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 感染可能导致呼吸衰竭以外的各种并发症,包括电解质障碍.
- 缺血症,特别是高血症,与SARS-CoV-2的重症患者的预后较差和死亡率增加有关.
研究的目的:
- 调查进入重症监护室的SARS-CoV-2感染患者的高血和临床结果之间的关联.
- 确定该患者群体中高血的危险因素和临床相关性.
主要方法:
- 一项对209名被诊断患有SARS-CoV-2感染并于2017年4月至2022年3月期间入院ICU的成年患者的队列研究.
- 收集的数据包括实验室标记,治疗方式,营养和呼吸支持,停留时间和死亡率.
- 实验室标记在入院和出院或死亡之前进行了比较.
主要成果:
- 观察到高的内类药物需求,与增加的死亡率相关.
- 超血症与肠道支持,内支持和死亡率的增加显著相关.
- 超血与糖尿病和慢性功能衰竭等先前存在的疾病相关,以及长时间的机械通风.
结论:
- 超血是SARS-CoV-2感染ICU患者死亡的一个关键风险因素.
- 治疗方案本身可以影响电解质平衡,突出管理的复杂性.
- 强调在SARS-CoV-2和器官衰竭的重症患者中仔细管理电解质的重要性.
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